<!DOCTYPE html>
<html xmlns:th="http://www.w3.org/1999/xhtml">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
<div class="wrapper wrapper-content ">
    <div class="row">
        <div class="col-sm-12">
            <div class="ibox float-e-margins">
                <div class="ibox-content">
                    <form class="form-horizontal m-t" id="signupForm">
                        <input id="id" name="id" type="hidden">

                        <div class="form-group">
                            <label class="col-sm-3 control-label">充值人：</label>
                            <div class="col-sm-8">
								<p class="form-control" id="sysUserid"></p>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">充值时间：</label>
                            <div class="col-sm-8">
								<p class="form-control" id="rechargeTime"></p>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">充值金额：</label>
                            <div class="col-sm-8">
								<p class="form-control" id="rechargeMoney"></p>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">备注：</label>
                            <div class="col-sm-8">
								<textarea id="remark" name="remark" class="form-control" type="text"></textarea>
                            </div>
                        </div>
                        <div class="form-group">
                            <div class="col-sm-8 col-sm-offset-3">
                                <button type="button" id="uploader" class="btn btn-primary">提交</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
<div th:include="include::footer"></div>
<script src="//s.xlongwei.com/res/js/My97DatePicker/WdatePicker.js"></script>
<script type="text/javascript" src="/js/webJs/jzweb/jazUserRecharge/info.js">
</script>
</body>
</html>
